Acid Reflux in Hindi | GERD in Hindi (Gastro esophageal reflux disease) || Dr. Shipra Mishra ||

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  • čas přidán 25. 09. 2021
  • acid reflux, Acidity, all about gerd acid reflux Gastro-esophageal Reflux disease, Esophagitis inflammation of esophagus #gerd
    Gastro-esophageal Reflux Esophagitis-
    Inflammation of lower esophagus.
    Lower Esophageal Sphincter-Prevent gastro-esophageal Reflux
    Cause-
    Main Cause-
    Gastric acid hypersecretion {Acidity - due to Helicobacter Pylori (H-Pylori)}
    Obesity, alcohol, Smoking, stress, tobacco, Spicy food
    Infection
    Reduced Length of intra abdominal esophagus (inversely proportional to Acid exposure)
    Reduced LES Pressure (normal pressure= 10-20 mm/Hg, During swallowing pre. drop 1-3 mm/Hg)
    Sphincter pressure-
    Increased By- Protein meal, Alkalization of stomach
    Decreased By- Fatty meal , Chocolate, Gastric acidification
    Clinical features-
    Triad= heartburn + Regurgitation + Epigastric pain
    Typical symptoms= Triad + Odynophagia, Dysphagia, Hematemesis
    Multiple ulcer
    Hoarseness of voice (Laryngeal symptoms)
    Chronic cough, Shortness of breath
    Post-pardinal fullness
    Recurrent Pneumonia
    Symptoms increase in supine position
    Investigation-
    Gastroscopy
    Esophagoscopy
    X-ray(Barium meal)
    Urease test- H. pylori
    Esophageal Manometry
    Mucosal biopsy
    Treatment-
    Conservative- Analgesic
    Antibiotics (Amoxicillin)
    proton pump inhibitor- Omeprazole
    antacid- mg+ trisilicate
    H2 blocker- Ranitidine
    Prokinetics drug- Domperidone, Metoclopramide
    Eradication therapy- Avoid Spicy food , Smoking, Alcohol & frequent meal
    Life style change
    Surgery-
    Anti reflux Surgery Vertical banded Gastroplasty Nissen fundoplication
    Complication- Fibrosis
    Malignancy
    Barrett's esophagus- metaplasia
    Some important links-
    1- • Surgical Anatomy of Es...
    surgical anatomy of esophagus
    2- • Congenital Anomalies O...
    congenital anomalies of esophagus part-1
    3- • Congenital Anomalies o...
    congenital anomalies of esophagus part-2
    4- • Esophageal Varices in ...
    esophageal varices
    5- • Esophagus Cancer in Hi...
    carcinoma of esophagus
    #gastroesophagealrefluxdisease #gerdsymptoms, #gerdtreatment, #gerdtreatmentinhindi, #gerdsymptomsandtreatment, #acidrefluxsymptoms #acidrefluxtreatment
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